Active NPI
Landmark Pain and Sports Medicine
- Physical Therapist
- Washington, DC
National Provider Identifier
1205102308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2276
- Legal business name
- LANDMARK PAIN AND SPORTS MEDICINE
- Practice address
- 1150 Varnum St NE
Washington, DC 20017-2104 - Phone
- (301) 292-1758
- Fax
- (301) 292-1759
- NPI assigned
- Mar 23, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey William Wright, PT
- Title
- Owner
- Phone
- (301) 292-1758
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2276 | DC | Primary |
Addresses
Primary practice location
1150 Varnum St NE
Washington, DC 20017-2104
Mailing address
PO Box 23515
Alexandria, VA 22304-9351
Phone (301) 292-1758
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332460800000",
"number": "1205102308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23515",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223049351",
"telephone_number": "301-292-1758",
"fax_number": "301-292-1759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 VARNUM ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172104",
"telephone_number": "301-292-1758",
"fax_number": "301-292-1759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANDMARK PAIN AND SPORTS MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-23",
"last_updated": "2012-03-23",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-292-1758",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "DC",
"license": "2276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.